Abstract
This article examines the ways in which healthcare providers from a mixed economy of welfare operating in superdiverse neighbourhoods connect and innovate across the healthcare ecosystem to meet diverse and complex needs. Moving beyond a health systems approach which siloes different types of provision, we use the concept of bricolage to make visible the work undertaken by providers across the ecosystem. While we show that public, private and civil society provision all adapt to meet complex and diverse needs to some degree, we highlight the importance of inter-connectedness between providers and note the role of civil society in addressing gaps and cracks in provision. The importance of adopting a whole ecosystem approach and focusing on the actions and interactions which enable the ecosystem to function in complex demographic environments is highlighted before we stress the dangers of over-reliance on civil society.
Highlights
This paper introduces a new original analytical construct to thinking about how healthcare providers bricolage to adapt their services to address complex needs
This paper examines the ways in which healthcare providers from a mixed economy of welfare operating in superdiverse neighbourhoods connect and innovate across the healthcare ecosystem to meet diverse and complex needs
The importance of adopting a whole ecosystem approach and focusing on the actions and interactions which enable the ecosystem to function in complex demographic environments is highlighted before we stress the dangers of over-reliance on civil society
Summary
Many have ever more superdiverse populations accommodating both old (‘established’) and new (‘more recently arrived’) immigrants from multiple countries of origin, as well as non-migrant populations (Author and Author, 2016). Such places are fast changing and often resource poor. The neo-liberal emphasis on competition is re-focusing on the local while stressing provision through a mixed economy of welfare based on the notion of self-help This means that healthcare providers in superdiverse neighbourhoods are frequently expected to do magic: achieve more with less
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